ACI Medicine PC -- Lab Review Tool
build v30.21 (2026-09-16) Cancer Check joins the tests-completed-within-6-months list: ticked, it is neither ordered nor added to the order; C18.9 on the history between 6 months and 5 years old orders a Cancer Check with this draw and annually until the diagnosis is over 5 years (plan line + lab-order add-on); v30.19 (2026-09-16) ONE VERDICT PER PRODUCT: _plan_conflict_resolve drops the lower-precedence line when two lines give one product two directions (stop > increase/decrease/change > start > continue; up-vs-down and form switches left alone; multi-product Continue lines kept whole); v30.18 (2026-09-16) second 16-Sep flag: a product the plan needs is never in the completed-course cleanup even when the list writes a pack size (InflammaCore 14 Svg); InflammaCore is RESUMED after a completed course while inflammation stays high; scribe jobs are deleted after 120 minutes (ACI_SCRIBE_TTL_MINUTES); v30.17 (2026-09-16) 16-Sep flag: PROVIDER never printed -- the no-thyroid-change insulin line adds Gluco Low + Reducore in Shawn's words; a T4 increase inside a Continue sentence is a thyroid adjustment; sermorelin keeps 'dissolved under the tongue'; kept preg/DHEA capsule states strengths and dose; Phase Detox stops with Liver Shield when enzymes are optimal; a GLP-1 removed for a finished course orders no pancreatic/liver panel; Magnesium Citrate continue prints the fixed dose-less phrase; continue-list names cased (GHK-cu, Zinc thymulin); scribe-note picker shows a word count, never the note; v30.16 (2026-09-16) Signed orders (on the fly): when the form comes back with an error every field stays filled in -- name, DOB, sex, dates, ticks, diagnoses -- with the error at the top; Orders-ready links to another order for the same patient; v30.15 (2026-09-16) on the server the pushed/uploaded week folder is called the SERVER FOLDER everywhere (Find box, warnings, week page); the PC still says flash drive; Send_ICD10_To_Server.bat puts the full CMS ICD-10 list in /data (ACI_ICD10_DIR); v30.14 (2026-09-16) ACCOUNTS in the browser: change your own password (/account), forgot-password by a one-time emailed link (/forgot, SES or SMTP), and a Users page for admins (/admin/users: add, remove, make admin, make or email a reset link); DRIVE WATCHER (aci_drive_push.py + Start_Drive_Watcher.bat): the PC notices the flash drive and pushes only the new or changed files to the server with a push token, merge mode, never removing anything; v30.13 (2026-09-15) the week's folder is uploaded to the server from the browser (folder picker or a .zip) into ACI_DRIVE_DIR and stands in for the flash drive -- the week batch, the review page's Find box and the drive guard read it; the charts the batch made are browsed and downloaded from /week/runs; v30.12 (2026-09-15) under a review's generated documents, a finished scribe note is picked from a list (or pasted) and the documents are revised against it; v30.11 (2026-09-15) CLOUD SCRIBE: ACI_SCRIBE_CLOUD=1 records in the browser on the server and transcribes with AWS Transcribe Medical (speaker labels) into the same role decision, cleanup passes and Bedrock note; audio deleted from AWS after the transcript; v30.10 (2026-09-15) THIERER server flag: the testosterone continue line names the in-vial anastrozole when the oral is what comes off; one gonadorelin/clomiphene conversion line, never a second Continue of a capsule the patient has never had; the verb pass never prefixes a verb onto a clause that has one and never re-verbs a combination clause by its first ingredient; InflammaCore is stopped only when it is on the list, only its own clause, and never on a TPO above 20; LDN is a known agent; Pro-methyl MTHFR on the list above 4 capsules is decreased to 4; v30.09 (2026-09-15) uric acid alone never orders a GI Effects; the 4-point salivary cortisol order is numbered in the Summary of Protocol; the anemia work-up reads 'Pt. was asked ... Pt. will be referred ...' and Pt./Dr. are abbreviations to every sentence splitter; the server review page asks before running labs with no med/supp list; optimal bands read from aci.db (aci_ranges.py); text-only scribe via Bedrock on the server; v30.08 (2026-09-14) TMAO is never named among the birth-control findings -- addressed as in any other patient; v30.07: a lifestyle instruction (walking, diet, exercise) is never flagged as an unknown formulary product; v30.06: a continue line finds its sig through a stray space at a hyphen (UA- X Pro) and joins a count-led sig with 'at'; PubMed digest button on the home page; v30.05: two DHEA entries are one daily dose (10 + 25x2 = 60 -> 75 on the 25 mg capsule); T3 increase + T4 add in the step-and-total shape; v30.04: aci_pubmed_digest.py -- weekly PubMed abstracts (hormones / gut / T3) as a Word document with PDF links, standalone; v30.03: a full name written without spaces on a drive file is folded onto the patient (AndrewRemeliusHistory.pdf + ARResults.pdf); v30.02: T3 SR increase names the step and the total; separated anastrozole is a capsule with a sig; v30.01: the pick-one buttons on the Find box post the choice (quoted onclick had swallowed the click); v30.00: never start danazol over a Winstrol patient (rung-unreadable branch + post-pass agent guard); v29.99: the serum-iron sentence prints only beside a real Ferritin iron order (ferritin 54, no iron, none added: nothing); v29.98: the review page's Find box works -- an escaped quote had broken the page script; v29.97: the iron double is of the daily dose (2 chews -> 240 mg), never a double to what he already takes; v29.96: the iron start line names Bariatric Advantage Chewable iron; v29.95: a review starts from the patient's initials or name; drive files can be dropped without uploading; the batch never invents a patient from a vendor filename (17-Sep-2026 06:02, 21f7c9b4) | rules v30.21🚩 FlaggedHome

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